Unlisted px ther rad tx plng at Jersey Shore University Medical Center
1945 NJ-33, Neptune City, NJ · Hackensack Meridian Health · · NPI 1790297547
$146.96
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$408.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$40.80 with HORIZON vs $2,869.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $40.80 | ↓ -72% |
| AETNA | MANAGED MEDICAID | $67.73 | ↓ -54% |
| CLOVER | MEDICARE ADVANTAGE | $73.44 | ↓ -50% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $94.25 | ↓ -36% |
| AMERIHEALTH | LOCAL HMO | $118.69 | ↓ -19% |
| AMERIHEALTH | REGIONAL HMO | $129.83 | ↓ -12% |
| VACCN | ALL PRODUCTS | $146.96 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $146.96 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $146.96 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $146.96 | ↑ +0% |
| OPTUM HEALTH | MEDICARE ADVANTAGE | $146.96 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $154.31 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $160.18 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $176.35 | ↑ +20% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $216.24 | ↑ +47% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $240.31 | ↑ +64% |
| HORIZON | WORKERS COMP | $294.82 | ↑ +101% |
| BEACON | ALL PRODUCTS | $306.00 | ↑ +108% |
| BERGEN RISK | ALL PRODUCTS | $306.00 | ↑ +108% |
| HORIZON | PIP | $310.90 | ↑ +112% |
| QUALCARE | HMO | $317.02 | ↑ +116% |
| QUALCARE | PPO | $317.02 | ↑ +116% |
| AETNA | ASA | $319.46 | ↑ +117% |
| HORIZON | OMNIA | $323.71 | ↑ +120% |
| CIGNA | BH | $326.40 | ↑ +122% |
| AETNA | HMO | $345.41 | ↑ +135% |
| AETNA | PPO | $345.41 | ↑ +135% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $346.80 | ↑ +136% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $346.80 | ↑ +136% |
| QUALCARE | WORKERS COMP | $359.04 | ↑ +144% |
| CIGNA | HMO | $390.17 | ↑ +165% |
| CIGNA | PPO | $390.17 | ↑ +165% |
| HORIZON | SHP | $396.05 | ↑ +169% |
| HORIZON | HMO | $398.13 | ↑ +171% |
| HORIZON | INDEMNITY | $402.49 | ↑ +174% |
| HORIZON | PPO | $408.00 | ↑ +178% |
| OXFORD | ALL PRODUCTS | $2,789.00 | ↑ +1798% |
| UNITED HEALTHCARE | HMO | $2,869.00 | ↑ +1852% |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| UBH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px ther rad tx plng at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $146.96 | $146.96 – $2,774.00 |
| Hackensack University Medical Center | Hackensack | $156.36 | $125.09 – $3,250.00 |
| Ocean University Medical Center | Brick | $145.10 | $132.77 – $2,630.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $147.09 | $132.77 – $2,997.00 |
| Palisades Medical Center | North Bergen | $156.36 | $156.36 – $2,826.00 |
| Raritan Bay Medical Center | Perth Amboy | $147.09 | $147.09 – $2,746.00 |
| Riverview Medical Center | Red Bank | $146.96 | $146.96 – $2,749.00 |
| Southern Ocean Medical Center | Manahawkin | $145.10 | $145.10 – $2,703.00 |